



<!doctype html>
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<script language="javascript">
   function date(){    
     var date=document.getElementById("num1").value;
     if(!date.match(/^(\d{4}-\d{2}-\d{2})$/)) 
        alert("请输入正确的日期格式，如****-**-**");
      }
         function identity(){     
     var identity=document.getElementById("num2").value;
     if(!identity.match(/^\d{18}$/)) 
        alert("请输入正确的身份证格式，如321323********0673");
      }
       function phone(){     
     var phone=document.getElementById("num3").value;
     if(!phone.match(/^\d{11}$/)) 
        alert("请输入正确的号码格式，如152****2522");
      }
        function postcode(){     
     var postcode=document.getElementById("num4").value;
     if(postcode.match(/^\d{6}$/)) 
        alert("请输入正确的邮编格式，如223700");
      }
      
        </script>
<title>书人教育信息填报</title>
</head>

<body bgcolor="#d0d0d0">


<form action="/demo/demo_form.asp">
<p>
<img src ="/i/eg_cute.gif" align ="left"> 
</p>
<p>
<img src ="/i/eg_cute.gif" align ="right"> 
</p>
<h5 align="center">2017年书人教育班主任课表</h5>


<table border="2" align="center">
<tr>
  <th>班主任姓名</th>
  <td width="60"><form><input type="text" name=""></form></td>

  <th>性别</th>
  <td><input type="radio" name="sex" value="man" checked>man<input type="radio" name="sex" value="girl">girl</td>
  </tr>
  <tr>
  <th>出生年月</th>
  <td width="60"><input type="number" name="出生年月" id="num1"/> <input type="button" value="date" onClick="return date()"/></td>
  <th>身份证号</th>
  <td><input type="number" name="身份证号码" id="num2">         <input type="button" value="identity" onClick="return identity()"/> </td>
  <th width="100">联系电话</th>
  <td width="100"><input type="number" name="联系电话" id="num3"> <input type="button" value="phone" onClick="return phone()"/> </td>
  </tr>

  <tr>
  <th>联系地址或现住址</th>
    <td >
    <input type="text" style="height:110px;width:400px" name="address" ><br>
    例如：x区x街道x社区x楼院x室x号
    </td>
    <th>邮编</th>
    <td><input type="number" name="邮编" id="num4" > <input type="button" value="postcode" onClick="return postcode()"/> </td>
  </tr>

    <tr>
      <th>政治面貌</th>
          <td><input type="radio" name="politics">党员<input type="radio" name="politics">团员<input type="radio" name="politics">民主党派<input type="radio" name="politics">群众</td>
          <th>职业</th>
          <td colspan="4"><input type="radio" name="zhiye">本科生<input type="radio" name="zhiye">研究生<input type="radio" name="zhiye">博士及以上<input type="radio" name="zhiye"></td>
    </tr>
    <tr>
    <th>选择年级</th>
      <td colspan="5">  
      <table border="0">
    <td><input type="checkbox">一年级</td>
    <td><input type="checkbox">三年级</td>
     <td><input type="checkbox">四年级</td>
      <td><input type="checkbox">五年级</td>
       <td><input type="checkbox">六年级</td>
         </table></td>
    </tr>
    <tr  >
    <td  colspan="6" align="center" style="text-align:center;" >
      <input type="submit" value="提交">
    </td>
  </tr>



</table>

<body background="/i/eg_background.jpg">

<p>
<img src ="/i/eg_cute.gif" align ="left"> 
</p>
<p>
<img src ="/i/eg_cute.gif" align ="right"> 
</p>
<div style="color:#FF0000">

<h5 align="center">国际竞赛报名登记表</h5>
</div>

<table border="1" align="center">
<tr>
  <th>姓名</th><th>报名课程</th><th>联系方式</th><td>性别</td><th>出生年月</th><th>身份证号码</th><th>是否缴费</th><th>报名截止时间</th><th>提交</th>
</tr>
<tr>
  <td>
<form>
<input type="text" name="name"></form></td>
  <td>

<select 报名课程="报名课程">
<option value="蓝桥杯" select="selected">蓝桥杯</option>
<option value="思程杯">思程杯</option>
<option value="网博杯">网博杯</option>
<option value="英语四级">英语四级</option>
</select>

  </td>

<td>
<form>
<input type="text" contect="contect"></form>
</td>
<td>
<input type="radio" name="sex" value="man" checked>man
<input type="radio" name="sex" value="girl">girl
</td>
<td><input type="date" name=""></td>
<td>
 <input type="number" name="身份证号码" maxlength="13">
</td>
<td>
  <form>
<input type="radio" name="money" value="no" checked>no
<br>
<input type="radio" name="money" value="yes">yes
</form>
</td>
 <td>2018.1.1</td>
<td style="text-align:center;">
<input type="submit" value="提交">
</td>
</tr>
<tr>
<td>
<form>
<input type="text" name="name"></form></td>

  <td>
  <select 报名课程="报名课程">
<option value="蓝桥杯" select="selected">蓝桥杯</option>
<option value="思程杯">思程杯</option>
<option value="网博杯">网博杯</option>
<option value="英语四级">英语四级</option>
</select>
</td>
<td>
  <form>
<input type="text" contect="contect"></form>
</td> 
<td>
<input type="radio" name="sex" value="man" checked>man
<input type="radio" name="sex" value="girl">girl
</td>
<td><input type="date" name=""></td>
<td>
 <input type="number" name="身份证号码" maxlength="13">
</td>
<td>
  <form>
<input type="radio" name="money" value="no" checked>no
<br>
<input type="radio" name="money" value="yes">yes
</form>
</td>
<td>2018.1.1</td>
<td style="text-align:center;">
<input type="submit" value="提交">
</td>
</tr>
<tr>
<td>
<form>
<input type="text" name="name"></form></td>

  <td>
  <select 报名课程="报名课程">
<option value="蓝桥杯" select="selected">蓝桥杯</option>
<option value="思程杯">思程杯</option>
<option value="网博杯">网博杯</option>
<option value="英语四级">英语四级</option>
</select>
</td>
<td>
  <form>
<input type="text" contect="contect"></form>
</td> 
<td>
<input type="radio" name="sex" value="man" checked>man
<input type="radio" name="sex" value="girl">girl
</td>
<td><input type="date" name=""></td>
<td>
 <input type="number" name="身份证号码" maxlength="13">
</td>
<td>
  <form>
<input type="radio" name="money" value="no" checked>no
<br>
<input type="radio" name="money" value="yes">yes
</form>
</td>
<td>2018.1.1</td>
<td style="text-align:center;">
<input type="submit" value="提交">
</td>
</tr>
<tr>
<td>
<form>
<input type="text" name="name"></form></td>

  <td>
  <select 报名课程="报名课程">
<option value="蓝桥杯" select="selected">蓝桥杯</option>
<option value="思程杯">思程杯</option>
<option value="网博杯">网博杯</option>
<option value="英语四级">英语四级</option>
</select>
</td>
<td>
    <form>
<input type="text" contect="contect"></form>
</td>
<td>
<input type="radio" name="sex" value="man" checked>man
<input type="radio" name="sex" value="girl">girl
</td>
<td><input type="date" name=""></td>
<td>
 <input type="number" name="身份证号码" maxlength="13">
 
 </td>
 <td>
<input type="radio" name="money" value="no" checked>no
<br>
<input type="radio" name="money" value="yes">yes

</td>
<td>2018.1.1</td>
<td style="text-align:center;">
<input type="submit" value="提交">
</td>
</tr>
<tr>
<td>
<form>
<input type="text" name="name"></form></td>

  <td>
  <select 报名课程="报名课程">
<option value="蓝桥杯" select="selected">蓝桥杯</option>
<option value="思程杯">思程杯</option>
<option value="网博杯">网博杯</option>
<option value="英语四级">英语四级</option>
</select>
</td>
<td>
    <form>
<input type="text" contect="contect"></form>
</td>
<td>
<input type="radio" name="sex" value="man" checked>man
<input type="radio" name="sex" value="girl">girl
</td>
<td><input type="date" name=""></td>
<td>
 <input type="number" name="身份证号码" maxlength="13">
</td>
<td>
  <form>
<input type="radio" name="money" value="no" checked>no
<br>
<input type="radio" name="money" value="yes">yes
</form>
</td>
 <td>2018.1.1</td>
<td style="text-align:center;">
<input type="submit" value="提交">
</td>
</td>
</tr>
</table>
<p align="center"><a href="http://www.baidu.com/">http://www.baidu.com/</a> 如有疑问请访问。</p>


</form>

</body>
</html>
